Provider Demographics
NPI:1629052709
Name:KEMPER, KATHI J (MD)
Entity Type:Individual
Prefix:
First Name:KATHI
Middle Name:J
Last Name:KEMPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 KENNY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3502
Mailing Address - Country:US
Mailing Address - Phone:614-293-9777
Mailing Address - Fax:614-293-9776
Practice Address - Street 1:2000 KENNY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-293-9777
Practice Address - Fax:614-293-9776
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101226208000000X
OH35120656208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC44351OtherPARTNERS
NC89130AEMedicaid
WV2007239000Medicaid
NCB2131OtherMEDCOST
7669334OtherAETNA
NC130AEOtherBCBS
VA6738940Medicaid
SCQ01226Medicaid
WV2007239000Medicaid
VA6738940Medicaid
NC2295985AMedicare PIN